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COMPLIANCE INFO_2016-2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0540777
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COMPLIANCE INFO_2016-2020
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Entry Properties
Last modified
12/29/2022 11:24:58 AM
Creation date
7/3/2020 10:22:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2020
RECORD_ID
PR0540777
PE
4530
FACILITY_ID
FA0023311
FACILITY_NAME
DE YOUNG MEMORIAL CHAPEL
STREET_NUMBER
601
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
601 N CALIFORNIA ST
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0540777_601 N CALIFORNIA_.tif
Tags
EHD - Public
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Field Operations Policy and Procedures <br />Preparation Room Cleaning and Decontamination Requirements Form <br />The Preparation Room Cleaning and Decontamination Requirements Form (FIN-CS102) is <br />specific to each individual preparation room to communicate cleaning and decontamination <br />requirements. <br />Preparation Room Cleaning and Decontamination Schedule Form <br />The Preparation Room Cleaning and Decontamination Schedule Form (FIN-CS101) must be <br />used to document cleaning and decontamination of a preparation room. <br />Refrigeration Cleaning Log <br />The Refrigeration Cleaning Loi (FIN-CS100) must be kept in an easily accessible area near each <br />refrigeration unit and is to be used whenever each unit is cleaned and sanitized. <br />Refrigeration Log <br />Post the Refrigeration Log (FIN-CS085) on or near the refrigeration unit so that it is easily <br />accessible. Use it to log in each decedent upon initial arrival in the refrigeration unit and to log <br />them out when they are transferred to other areas within the location (i.e. Prep Room, <br />Embalming Room) or to another facility. The log must also be used to keep track of decedents <br />transferring in or out of the refrigeration unit due to overflow conditions. <br />Refrigeration Overflow Log <br />The Refrigeration Overflow Log (FIN-CS086) must posted on or near each refrigeration unit at a <br />location. It is to be used any time a decedent is placed in or removed from a refrigeration unit <br />due to an overflow situation. <br />Refrigeration Overflow Plan <br />Post the Refrigeration Overflow Plan (FIN-CS098) on the primary refrigeration unit so that it is <br />easily accessible. The plan is used to designate alternate refrigeration locations for storage as <br />well as to designate who must be contacted in case an overflow situation occurs. <br />Release Authorization <br />The Release Authorization Form (FIN-CS027) is used to authorize the release of a decedent from <br />the place of death or a funeral home into the custody of a Company funeral home or a non - <br />Company institution. The form must be signed by the Authorized Representative. <br />Safe Log <br />A log at each location on which to keep track of when decedent valuables are placed into or <br />removed from a designated locked, secure area. <br />Service Agreement <br />The Service Agreement is a contract between Company affiliated location(s) and third party <br />vendor(s) who provides services on behalf of the Company affiliated location(s). <br />Service Information Form <br />The Service Information Form (FIN-CS031) is used to gather initial decedent information (e.g. <br />decedent name, embalming authorization, minimal preparation authorization) during a first call <br />Version 2.1 Page 68 of 70 Revised: 07/10/2015 <br />Document Owner: Operations Support 0 2015 SCI Funeral & Cemetery Purchasing Cooperative, Inc. <br />
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